关节镜手术联合内服中药膝痛康方治疗膝骨关节炎临床研究  

Clinical effect of arthroscopy surgery combined with Chinese medicine Xitongkang Recipe in treating knee osteoarthritis

作　　者：谢洋[1] 李苏皖[1] 张国桥[1] 李光政 付国建[1] XIE Yang;LI Suwan;ZHANG Guoqiao;LI Guangzheng;FU Guojian(Department of Orthopaedics,The People s Hospital of Maanshan City,Maanshan,Anhui 243000,China)

机构地区：[1]马鞍山市人民医院骨科,安徽马鞍山243000

出　　处：《安徽医药》2019年第4期751-753,共3页Anhui Medical and Pharmaceutical Journal

基　　金：安徽省马鞍山市级中医发展专项经费项目(ZY201404)

摘　　要：目的探讨关节镜手术联合内服中药膝痛康方治疗膝骨关节炎的疗效。方法将马鞍山市人民医院2015年1月至2016年4月收治的41例膝骨关节炎病人采用随机数字表法分为两组,选择不同治疗方式。其中治疗组20例,应用关节镜手术联合内服中药膝痛康方治疗;对照组21例,应用单纯关节镜手术治疗。选用Lequsne疗效评定、Lysholm膝关节评分评定其临床疗效。结果所有病人均进行6个月以上随访。治疗后,两组膝关节功能及临床症状较前均有明显的好转。在Lequsne疗效评定上,总有效率治疗组85.00%明显优于对照组71.42%(χ~2=4.113,P=0.042);在Lysholm膝关节评分上,治疗前两组评分差异无统计学意义(t=0.031,P=0.897);治疗后3个月、6个月与对照组相比,治疗组明显优于对照组(t=9.134,P=0.000;t=9.245,P=0.000)。结论关节镜手术联合内服中药膝痛康方治疗膝骨关节炎取得了较好的疗效,具有较高的临床应用价值。Objective To observe the clinical effect of arthroscopy surgery combined with oral traditional Chinese medicine Xitongkang Recipe in treating knee osteoarthritis.Methods Forty-one patients of osteoarthritis who were treated in the People s Hospital of Maanshan City,Anhui Province from January 2015 to April 2016 were randomly assigned into two groups using random digital tables,and different treatment methods were selected.20 patients were defined as the treatment group who were treated by arthroscopy surgery combined with oral traditional Chinese medicine Xitongkang Recipe,while 21 patients were defined as the control group who undergone arthroscopy surgery singly.The evaluation system of Lequsne Scale and Lysholm Scale was used to assess the effect.Results All the patients were received more than six months follow-up.The patients of two groups were improvement in knee function and clinical symptom after the treatment.According to the system of Lequsne Scale,total effective of treatment group(85.00%)was significantly better than 71.42%of control group(χ^2=4.113,P=0.042).On the system of Lysholm,there was no significant difference between two groups(t=0.031,P=0.897).But the treatment group was significantly better than control group after 3 and 6 months(t=9.134,P=0.000;t=9.245,P=0.000).Conclusion The method of arthroscopy surgery combined with oral traditional Chinese medicine Xitongkang Recipe has a good curative effect on knee osteoarthritis,and has high clinical application value.

关 键 词：骨关节炎 膝 关节镜检查 中草药 熟地黄 黄芪 

分 类 号：R684.3[医药卫生—骨科学]